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Organization

LIFELONG THERAPEUTICS OT PLLC

Active
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Organization

LIFELONG THERAPEUTICS OT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY WAYNE CIOLINO OTR/L (PRESIDENT)
(631) 278-0665
Entity
Organization

Contact information

Practice address
165 BEVERLY RD, HUNTINGTON STATION, NY 11746-4522
(631) 278-0665
(631) 549-1957
Mailing address
143 CHARDONNAY DR, EAST QUOGUE, NY 11942-3829
(631) 278-0665
(631) 549-1957

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
006369
NY

Other

Enumeration date
11/28/2011
Last updated
02/21/2012
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